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DR. MARK J MILLS D.D.S.

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1487848065

Individual Registrant:
DR. MARK J MILLS D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
10 RUPERT ST  MONTE VISTA, CO 81144-1042 US
Tel: 719-852-3011  Fax: --

Contact information for business:
3355 N ACADEMY BLVD BOX 633 COLORADO SPRINGS, CO 80917-5103 US
Tel: 719-641-6587  Fax: 719-683-5974

Registration Information:
NPI: 1487848065
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CO3617

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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